Neuropsychologic Testing in Chiasmal Patients Exhibiting Inattention in the Temporal Visual Space during Monocular Visual Testing
Autor: | Hanne Udesen, Hans C. Fledelius |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Monocular genetic structures business.industry Visual space 05 social sciences Cognition Audiology eye diseases Test (assessment) 03 medical and health sciences 0302 clinical medicine 030221 ophthalmology & optometry Medicine Neuropsychologic Tests 0501 psychology and cognitive sciences Visual behaviour 050102 behavioral science & comparative psychology Neurosurgery business Visual testing |
Zdroj: | Open Journal of Ophthalmology. :21-30 |
ISSN: | 2165-7416 2165-7408 |
DOI: | 10.4236/ojoph.2017.71004 |
Popis: | Objective: By means of neuropsychologic tests, to further analyse a specific chiasmal monocular visual testing behaviour, here labelled temporal blocking because of the elective ignorance of optotypes on the temporal side of the chart. Often it is combined with impairment of reading and other cognitive impairments. Methods: Eighteen patients with lesions to the chiasm and some degree of temporal blocking aged 24 - 76 years underwent: 1) tests for visual neglect (Gothenburg test; behavioural inattention tests: star cancellation; line bisection); 2) visuo-perceptual tests; and 3) a test involving reading a crowded ten-letter and cipher bar. Results: The temporal blocking in two patients recovered after emergency neurosurgery and their results were normal when subsequently tested. Of the 16 patients with deficiencies, 14 had a poorer left eye (p Conclusions: The best neuropsychologic tests appeared to be those for visual neglect and the crowded bar test. In most cases, the right cerebral hemisphere’s lack of some crossed information from the left eye, usually needed for normative saccades and adjustment to visual space, may be a factor underlying the specific visual behaviour. |
Databáze: | OpenAIRE |
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